Trusting the Body to Trust its Hunger Signals: An Evidence Based Investigation into Intuitive Eating

IAEDP Symposium 2011

About the Course:

Webinar from the 2011 International Association of Eating Disorders Professionals Symposium.

Punitive and obsessional thoughts about eating and weight perception underlie most eating disorders. Dietary and nutritional guidelines are laden with rules that suppress the body’s natural intuitive eating ability. Proponents of the “intuitive eating” philosophy contend that patients can relearn to trust the body’s hunger/satiety signals and reestablish its innate food wisdom. Researchers, cognitive of the numerous physiological pathways controlling hunger and the current psychosocial conditioning, argue that reestablishing mechanisms of self-regulation are an illusion and unobtainable. This presentation attempts to introduce a practical middle ground that will reduce the confusion, establish trust and result in long term recovery.

I. Conventional Diets do not Work

A. Pathological diets and eating disorders B. Health and psychological risks C. Failure and rebound D. Counter regulation: Deprivation triggers binging E. Preoccupation G. Emotional eating

H. Habituation: sensory specific satiety

II. Intuitive eating: without conscious reasoning

A. Reliance on internal hunger/satiety cues to determine when and how much food to eat B. Unconditional permission to eat when hungry and whatever food desired C. Eating food for physical rather than emotional reasons D. Nutrition is not the driving force i. Orthorhexia: Health consciousness as a negative attribute ii. Gentle Nutrition E. Natural weight: Health at every size F. Children: intuitive eating is innate G. American Style eating: Low in pleasure; high in health consciousness H. History

III. Research: Bacon ’05; Hawks ’05; Tylka ’06; Smithian ’08; Messinger ’09

IV. Limitations of studies and criticisms

A. Too small; non-definitive; self-reported data B. Technique: vague; subjective; ambiguous C. Gentle eating too subjective, individualized, and subtle D. Too much time, effort, trial and error, nebulous outcome E. No gastrointestinal, neurological or biochemical data F. Deterioration of trust

V. Review of internal and external hunger

1. Hunger; Appetite; Satiety; Satiation 1. Internal Cues a) Digestion; nutrients b) Nuclei; neuropeptides c) Inflammatory markers d) Gut peptides e) Hormones; receptors 2. Externality 1. Genetics 2. Disease; medications 3. Sleep; Seasonality; Exercise 4. Hedonistic System 5. Restraint Theory; cognitive 6. Cultural 7. Sensory 8. Conditioning 9. Instinct 10. Implied Norms of Appropriateness 11. Emotional Triggers

VI. Suggestion for alternative

Note: For this course there is a small additional fee to obtain the webinar. Please see the “Get Course Materials” link in the right sidebar for details.

Author

Ralph E. Carson, RD, PHD (presenter)

About the Author:

Dr. Carson has been involved in the clinical treatment of obesity and eating disorders for over 30 years. His unique background in medicine (BS Duke University and B. H. S. Duke University Medical School) coupled with nutrition and exercise (BS Oakwood College, Ph.D. Auburn University) has prepared him to integrate biophysiological intervention with proven psychotherapeutic treatment. He consults with eating disorder programs and presents at conferences around the world. Dr. Carson is currently the nutritional consultant of the Women’s Center, A Pine Grove Program and an IAEDP board member. He has recently published Harnessing the Healing Power of Fruit.

Recommended For:

This course is recommended for health care professionals, especially psychologists, therapists, and counselors who seek to update their research knowledge and competency in treating patients with eating disorders, increase and acquire new skills, learn new intervention strategies, and obtain continuing education credits. It is appropriate for professionals at all levels of knowledge.

Course Objectives:

  1. Following this presentation, participants will be able to describe the mechanisms by which one can identify comfortable satiety.

  2. Following this presentation, participants will be able to identify the differences between biological (internal) and emotional (external) eating behavior.

  3. Following this presentation, participants will be able to define intuitive eating and examine its contribution to eating disorder recovery.

Exam Questions

All exam questions for the course are visible on this page for members of CE-credit.com.

Membership is free, and you can sign up today! You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.

If you're already a member, please login to see the exam questions for this and all other courses.

Exam-related Actions